Individual
LEAH ASHLEY GUERRERO DIMALANTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4500 13TH ST STE 900, GULFPORT, MS 39501-2515
(228) 822-6965
Mailing address
603 POWER CIR, BILOXI, MS 39531-2538
(310) 613-4274
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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